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Public Health.

Alicia Boluarte Carbajal1, Arantxa Sánchez Boluarte2,3, Danilo A Sanchez Coronel4

  • 1Universidad Cesar Vallejo, Los Olivos, Lima, Peru.

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Summary
This summary is machine-generated.

Culturally adapting cognitive tests like the Modified Mini-Mental State Exam (3MS) and Rowland Universal Dementia Assessment Scale (RUDAS) is crucial for accurately assessing dementia in monolingual, illiterate Amazonian communities. This adaptation ensures early detection and targeted interventions.

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Area of Science:

  • Neuroscience
  • Anthropology
  • Public Health

Background:

  • Dementia prevalence in native Amazon communities is estimated at 1-4%.
  • The Shawi community in Peru faces challenges due to monolingualism, low socioeconomic status, and high illiteracy rates.
  • Existing cognitive assessments may not be suitable for culturally diverse indigenous populations.

Purpose of the Study:

  • To culturally adapt the Modified Mini-Mental State Exam (3MS) and the Rowland Universal Dementia Assessment Scale (RUDAS) for the Shawi Amazonian community.
  • To ensure cognitive assessments are accurate and culturally relevant for indigenous groups.
  • To facilitate early detection of cognitive impairment in underserved populations.

Main Methods:

  • Adherence to International Test Commission guidelines for cultural adaptation.
  • Integration of focus group discussions (FGD) with community members and cognitive interviews with stakeholders.
  • Expert judgment, forward-backward translation by native bilinguals, and pilot testing with 20 participants.

Main Results:

  • Cultural insights from FGDs and interviews informed test item and administration protocol adaptations.
  • Test items were adjusted to reflect Shawi daily life, including alternative questions for illiterate individuals.
  • Pilot study resolved comprehension issues, standardized administration, and informed a field manual.

Conclusions:

  • The adapted 3MS and RUDAS enable accurate cognitive assessment in monolingual indigenous communities with high illiteracy.
  • Culturally tailored tools are essential for early detection of cognitive impairment.
  • This adaptation supports targeted interventions within indigenous communities.